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SURGERY CENTER OF SCOTTSDALE LLC NPI 1497165179


NPI Information

NPI: 1497165179
Provider Name: SURGERY CENTER OF SCOTTSDALE, LLC

Doing Business As: MOUNTAIN VIEW SURGERY CENTER OF PHOENIX

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2061660

Address:
3131 W PEORIA AVE
PHOENIX, AZ
ZIP 85029
Phone: (602) 375-1083
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SURGERY CENTER OF SCOTTSDALE, LLC is an ambulatory surgical clinic center in Phoenix, AZ. SURGERY CENTER OF SCOTTSDALE, LLC NPI is 1497165179. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain View Surgery Center Of Phoenix.

The provider's business location address is:

3131 W PEORIA AVE
PHOENIX, AZ
ZIP 85029-226
Phone: (602) 375-1083
Fax: (602) 789-6833

The provider's authorized official is Jenetha D Moran .
The authorized official title is Officer / Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 03D2061660 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 12/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalOSC6563ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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